Individual
GABRIELA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 CROSSFIELD DR, UNIT 2, VERSAILLES, KY 40383-1596
(859) 879-0024
(859) 879-1102
Mailing address
260 CROSSFIELD DR, UNIT 2, VERSAILLES, KY 40383-1596
(859) 879-0024
(859) 879-1102
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
BMTMTH00216686
KY
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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